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中指脂肪瘤：一例病例报告及文献综述

Lipoma of the middle finger: A case report and review of literature.

作者信息

Hu Zhongqing, Yue Zhenshuang, Tang Yanghua, Zhu Yi

机构信息

Department of Orthopedics, Xiaoshan Traditional Chinese Medical Hospital The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, P.R. China.

出版信息

Medicine (Baltimore). 2017 Oct;96(42):e8309. doi: 10.1097/MD.0000000000008309.

DOI:10.1097/MD.0000000000008309
PMID:29049236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5662402/
Abstract

RATIONALE

Lipomas originated from fingers are rare and the dissection is necessary when the lipomas limit the finger movement or cause pain.

PATIENT CONCERNS

A 57-year-old male was admitted to our department due to a painless swelling on the volar side of the middle finger of the right hand. The flexion movement of the distal interphalangeal joint was limited.

DIAGNOSES

Imaging studies and open biopsy confirmed that it was a finger lipoma.

INTERVENTIONS

An excisional biopsy was performed.

OUTCOMES

The patient recovered completely after two weeks.

LESSONS

Based on this case and literature we reviewed, ultrasound and MRI should be used to diagnose the finger lipoma and excision was the main treatment option.

摘要

理论依据

起源于手指的脂肪瘤罕见，当脂肪瘤限制手指活动或引起疼痛时，进行切除是必要的。

患者情况

一名57岁男性因右手中指掌侧无痛性肿胀入院。远侧指间关节的屈曲活动受限。

诊断

影像学检查和开放活检证实为手指脂肪瘤。

干预措施

进行了切除活检。

结果

患者两周后完全康复。

经验教训

基于该病例及我们查阅的文献，超声和磁共振成像应用于诊断手指脂肪瘤，切除是主要的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/a478585db137/medi-96-e8309-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/ebbdbca91290/medi-96-e8309-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/e67d83883ead/medi-96-e8309-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/a478585db137/medi-96-e8309-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/ebbdbca91290/medi-96-e8309-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/e67d83883ead/medi-96-e8309-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1541/5662402/a478585db137/medi-96-e8309-g003.jpg

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Int J Surg Case Rep. 2025 May;130:111328. doi: 10.1016/j.ijscr.2025.111328. Epub 2025 Apr 21.
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Int J Surg Case Rep. 2024 Nov;124:110449. doi: 10.1016/j.ijscr.2024.110449. Epub 2024 Oct 13.
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Giant lipoma in the index finger of the dominant hand of a swimmer: A case report.

本文引用的文献

1
Lipoma of the Thumb: Spindle Cell Subtype.拇指脂肪瘤：梭形细胞亚型
Case Rep Orthop. 2016;2016:9537175. doi: 10.1155/2016/9537175. Epub 2016 Mar 21.
2
Unusual case of finger lipoma: a case report and literature review.手指脂肪瘤罕见病例：一例报告及文献综述
J Plast Reconstr Aesthet Surg. 2015 Feb;68(2):284-6. doi: 10.1016/j.bjps.2014.09.029. Epub 2014 Sep 28.
3
Lipoma on palmar aspect of thumb: a rare case report.拇指掌侧脂肪瘤：一例罕见病例报告。
游泳运动员优势手食指巨大脂肪瘤 1 例报告。
Jt Dis Relat Surg. 2023 Apr 27;34(2):469-473. doi: 10.52312/jdrs.2023.907.
4
Management of Symptomatic Lipoma of the Hand: A Case Series and Review of Literature.手部有症状脂肪瘤的管理：病例系列及文献综述
Arch Bone Jt Surg. 2022 Jun;10(6):530-535. doi: 10.22038/ABJS.2021.57846.2864.
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Multilocular Lipoma in the Middle and Index Fingers: A Case Report.中、食指多发脂肪瘤：病例报告
Cureus. 2022 Feb 13;14(2):e22172. doi: 10.7759/cureus.22172. eCollection 2022 Feb.
6
Lipoma of the Middle Finger: A Case Report.中指脂肪瘤：一例报告
Plast Reconstr Surg Glob Open. 2020 Jul 24;8(7):e2993. doi: 10.1097/GOX.0000000000002993. eCollection 2020 Jul.
J Clin Diagn Res. 2013 Aug;7(8):1706-7. doi: 10.7860/JCDR/2013/5683.3261. Epub 2013 Aug 1.
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Giant lipoma of the third finger of the hand.手部第三指巨大脂肪瘤。
Springerplus. 2013 Apr 16;2(1):164. doi: 10.1186/2193-1801-2-164. Print 2013 Dec.
5
Lipoma of the finger with bone erosion.伴有骨质侵蚀的手指脂肪瘤。
J Nippon Med Sch. 2012;79(4):307-11. doi: 10.1272/jnms.79.307.
6
Report of two cases of subcutaneous lipoma over the finger and review of literature: case series: benign tumour.两例手指皮下脂肪瘤病例报告及文献复习：病例系列：良性肿瘤
Musculoskelet Surg. 2011 Dec;95(3):247-9. doi: 10.1007/s12306-011-0134-7. Epub 2011 Apr 26.
7
Patient presenting with lipoma of the index finger: a case report.一名食指脂肪瘤患者：病例报告。
Cases J. 2010 Jan 12;3:20. doi: 10.1186/1757-1626-3-20.
8
Lipoma of the finger presenting as restricted motion.表现为活动受限的手指脂肪瘤。
Indian J Plast Surg. 2008 Jul;41(2):237-8. doi: 10.4103/0970-0358.44933.
9
Benign neoplastic and nonneoplastic destructive lesions in the long bones of the hand.手部长骨的良性肿瘤性和非肿瘤性破坏性病变。
Surg Gynecol Obstet. 1959 Aug;109(2):189-97.
10
Ultrasound and MR findings in tumor and tumor-like lesions of the fingers.手指肿瘤及肿瘤样病变的超声和磁共振成像表现
Eur Radiol. 2003 Apr;13(4):672-85. doi: 10.1007/s00330-002-1477-0. Epub 2002 Jun 15.